Jolene Douglas

NPI #1780190223 in Muskegon Heights, Michigan

Provider Information

NPI Number
1780190223
Entity Type
Individual
Name
Jolene Douglas
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dental Hygienist
Enumeration Date
Dec 20, 2017
Last Updated
Dec 20, 2017

Practice Location

Address
2201 S GETTY ST
ZIP Code
49444-1207
Phone
(231) 767-9830

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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